" /> Managing Medicare | Information, Discussion, and Collaboration To Better Manage Medicare Businesses.
Latest Story

CMS Releases Update to Spring 2011 MARx Software Release

December 3, 2010
By jbaker

CMS release though HPMS revised and more detailed requirements for the Spring 2011 MARX Software Release.  The PDF is 50MB, you will need to go to HPMS to fetch.
Read more »

Managed Medication Management Can Impact STARS Ratings

December 1, 2010
By jbaker

Studies show that adding a pharmacist to the direct medical management team can have major positive results when managing patient care: major reduction in adverse drug reactions, fewer medication errors and higher quality of care and life.  All of these results are measured in...
Read more »

CMS Orders 3 Plans to Stop Marketing During 2011 AEP

November 23, 2010
By jbaker

CMS has order three private MA plans to stop marketing and enrollment activity: Universal American Corp. (UAM), Health Net Inc. (HNT) and Arcadian Health.  Not a good time to stop enrolling members in the middle of the 2011 AEP! Further References: Kaiser Health News...
Read more »

MA Plans Responding to ACA – Retrenchment!

November 22, 2010
By jbaker

According to the WSJ on 11/19/10, the major public MA plans are responding to the legislative changes in the ACA of 2010 by diversifying from the once lucrative private...
Read more »

GOVT Releases Final Medical Loss Ratio Regulations

November 22, 2010
By jbaker

The Obama administration today issued the final regulations on the much-discussed medical loss ratio. The health-care overhaul bill stipulates targets of 80% for small-business plans and 85% for large-company...
Read more »

PCUG 5.3 Released

November 22, 2010
By jbaker

In case you missed the most recent release of the update to the Plan Communications User Guide 5.3, here is the link.  Download and review! http://www.cms.gov/MAPDHelpDesk/02_Plan_Communications_User_Guide.asp
Read more »

SEARCH